https://scholars.lib.ntu.edu.tw/handle/123456789/503128
Title: | Clinical application of different surgical navigation systems in complex craniomaxillofacial surgery the use of multisurface 3-dimensional images and a 2-plane reference system | Authors: | Liu T.J. Ko A.-T. Tang Y.-B. HONG-SHIEE LAI Chien H.-F. THOMAS MON-HSIAN HSIEH |
Issue Date: | 2016 | Publisher: | Lippincott Williams and Wilkins | Journal Volume: | 76 | Journal Issue: | 4 | Start page/Pages: | 411-419 | Source: | Annals of Plastic Surgery | Abstract: | Background: Intraoperative navigation is a tool that provides surgeons with real-time guidance based on patients' preoperative imaging studies. The application of intraoperative navigation to neurosurgery and otolaryngology has been well documented; however, only isolated reports have analyzed its potential in the field of craniomaxillofacial surgery. Methods: From November 2010 to July 2014, 15 patients were operated on for complex craniomaxillofacial surgery with assistance by 3 different navigation systems, which used either infrared or electromagnetic technologies. We imported fine-cut (0.625-mm) computed tomographic scan images of the patients to the navigation systems whose software processed them into multisurface 3-dimentional models used as guiding material for the surgical navigation. We also developed a simple "2-plane reference system" to ensure that the final results were symmetric to the normal half of the face. Appearance outcome was evaluated by questionnaire. Results: Of these 15 cases, 3 cases were performed with infrared-based navigation, and the remaining 12 cases were accomplished by electromagnetic technology. Most of these cases resulted in satisfactory outcomes after tumor resection, posttraumatic reconstruction, and postablative reconstruction. Conclusion: Navigation systems offer highly valuable intraoperative assistance in complex craniomaxillofacial surgery. Not only can these systems pinpoint deep-seated lesions as neurosurgeons or otolaryngologists do, but they can also use a simple 2-plane reference system for accurate bone alignment. Moreover, advancements in multisurface 3-D models provide us more reliable intuitive image guidance. The application of electromagnetic technology, with its smaller reference obviation of the line-of-sight problem, makes the manipulation of craniomaxillofacial surgery more comfortable. ? 2016 Wolters Kluwer Health, Inc. All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84922424259&doi=10.1097%2fSAP.0000000000000429&partnerID=40&md5=c6fbcaee58658820c6a05fd8cb02ff17 https://scholars.lib.ntu.edu.tw/handle/123456789/503128 |
ISSN: | 0148-7043 | DOI: | 10.1097/SAP.0000000000000429 | SDG/Keyword: | adolescent; adult; aged; child; comparative study; computer assisted surgery; diagnostic imaging; female; follow up; human; male; middle aged; orthopedic surgery; outcome assessment; preschool child; procedures; skull; spiral computer assisted tomography; surgery; three dimensional imaging; young adult; Adolescent; Adult; Aged; Child; Child, Preschool; Female; Follow-Up Studies; Humans; Imaging, Three-Dimensional; Male; Middle Aged; Orthopedic Procedures; Outcome Assessment (Health Care); Skull; Surgery, Computer-Assisted; Tomography, Spiral Computed; Young Adult |
Appears in Collections: | 醫學系 |
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